Table 2.

Areas for improvement suggestions by women and specialist nurses mapped to the main themes

Readiness and motivators   • Use during treatment (women and nurses)   • Use for all patients prior to telephone review (nurses)   • Hybrid (combination of face-to-face and ePRO) approach (women)

Practicalities   • Questions — More opportunity for free-text comments, adding own question and being reminded of it on subsequent completions; add a generalist health question (women)   • Facilitation/access and communication around community blood test/results (e.g. cover note for women to give to general practitioner; earlier bloods reminder; improved communication about blood results; more guidance on where can get bloods) (women)   • More communication/feedback that clinical team have reviewed results (women)   • More direction/specific instructions to access website for ePRO completions (women)   • Improved reminder timing (women); instead of relying on reminders, tell patients to do just prior to telephone review/same day they get blood test (nurses)

Ideas for future use   • Video consultations (women and nurses)   • Use an alternative to CA125 (e.g. scans) for those whose cancer does not show in blood (women)   • Links to peer support within ePRO questionnaire (women)   • Change to an ad-hoc symptom alert app (nurses)   • Enable ePRO system to generate document/letter to general practitioner to reduce workload (nurses)   • More sophisticated alert system — i.e. comparing current to previous symptoms (nurses)